1. Which one is not a clinical presentation in Guillain Barre Syndrome?
Ascending paralysis
Weakness and paresthesias
Descending paralysis
Autonomic dysregulation
- C
2. CSF with an increased level of proteins +/- pleocytosis, and diffuse demyelination in nerve conduction studies are seen in:
Multiple Sclerosis
Amyotrophic Lateral Sclerosis
Myasthenia Gravis
Guillain-Barre Syndrome
- D
3. 40 yo man comes to the ED with progressive weakness and paresthesias in his legs, later in his arms over the last few days. In the Physical Exam is seen: SO2 90% (FiO2 21%), slightly dyspneic, lungs clear to auscultation bilaterally, Strength 3/5 in LE bilateral, 4/5 UE bilateral, areflexia in LE bilateral. The patient refers to an episode of diarrhea 3 weeks ago. What is the best initial step?:
IVIG infusion
Plasmapheresis
O2+ monitor Peak Inspiratory Pressure and Vital capacity
Nerve conduction studies
- C
4. 60 yo man presents with progressive swallowing impairment over the last 15 days, associated with weight loss. Also refers to weakness in his right hand later in his left hand that appeared 2 months ago. Denies pain, fever, night sweats, changes in bowel movements, urinary incontinence, paresthesias, tingling. PE fasciculations in tongue, weakness in UE and LE bilateral, atrophy in LE bilateral, Babinski + bilateral. Which of the following delay disease progression?
CPAP
Steroids
Plasmapheresis
Riluzole
- D
5. In the previous case, this medical condition is characterized for the following, except:
It is a progressive degenerative disease of both upper and lower motor neurons.
Associated with recent Campylobacter jejuni infection.
Paresthesias and autonomic dysregulation
B and C
- D
No comments:
Post a Comment